Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.22 / $1,927.20 / $8,413.00	Facility		$1,244.22	$1,927.20	$8,413.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $622.11 / $932.29 / $1,087.08	Facility	52	$622.11	$932.29	$1,087.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.13 / $1,244.22 / $2,511.21	Professional		$1,100.13	$1,244.22	$2,511.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.61 / $1,810.03 / $3,218.03	Professional		$1,300.61	$1,810.03	$3,218.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.54 / $1,687.43 / $2,992.21	Professional		$1,281.54	$1,687.43	$2,992.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,244.22 / $1,615.00 / $2,287.28	Facility		$1,244.22	$1,615.00	$2,287.28
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $257.80 / $350.05 / $438.80	Facility	80	$257.80	$350.05	$438.80
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $180.46 / $245.04 / $297.33	Facility	AS	$180.46	$245.04	$297.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $606.00 / $1,750.25	Professional		$606.00	$606.00	$1,750.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,366.00 / $9,541.00 / $14,589.00	Facility		$3,366.00	$9,541.00	$14,589.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.66 / $1,362.00 / $2,947.09	Professional		$1,080.66	$1,362.00	$2,947.09
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $5,859.30 / $11,102.00 / $26,542.00	Facility		$5,859.30	$11,102.00	$26,542.00
Wellcare Facility/Professional Facility Modifier 52 Low / Median / High Price $2,274.26 / $2,555.14 / $8,418.48	Facility	52	$2,274.26	$2,555.14	$8,418.48
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $284.27 / $319.39 / $1,052.31	Facility	AS	$284.27	$319.39	$1,052.31
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,066.48 / $9,066.48 / $10,750.35	Professional		$9,066.48	$9,066.48	$10,750.35